【摘要】 经导管主动脉瓣置换术经过20余年的发展，手术相关并发症已明显减少，唯术后脑卒中发生率无明显降低。近年多种脑保护装置应用于临床，但因缺乏高质量循环医学证据支持，其有效性尚存较大争议。本文综述经导管主动脉瓣置换术相关脑卒中危险因素以及术中脑保护装置的应用，为病例选择和脑保护策略制定提供参考。更多还原

【Abstract】 After more than 20 years of development, the complications of transcatheter aortic valve replacement(TAVR) have been significantly reduced, but the incidence of stroke has not been significantly reduced. In recent years, a variety of cerebral embolic protection device(CEPD) have been applied in clinical practice, but their effectiveness is still controversial due to the lack of high-quality clinical evidence. This article reviews progress on the risk factors for stroke and the characteristics of intraoperative CEPD in TAVR, so as to provide reference for the selection of TAVR cases and the formulation of cerebral embolic protection strategies.更多还原